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1497889679
RANDY D WOOTON
MEDFORD, OR
NPI
1497889679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR 6025)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Dr. RANDY D WOOTON DMD
1123 E MAIN ST
MEDFORD, OR 97504-7434
Phone number: 541-773-3422
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Mailing Address
Dr. RANDY D WOOTON DMD
1123 E MAIN ST
MEDFORD, OR 97504-7434
Phone number: 541-773-3422
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